HEALTHCARE RCM

Boost Revenue. Cut Costs. Stay Compliant.

End-to-end revenue cycle management for US healthcare practices. We handle eligibility verification, coding, claims, denials, A/R follow-up, and credentialing — so your team focuses on patients, not billing.

No setup fees. Pay only when we collect.
FULL-CYCLE RCM SCOPE

Everything From Eligibility to Collections

Eligibility & Verification

Real-time insurance eligibility verification before every patient encounter to eliminate downstream claim errors.

ICD-10 / CPT Coding

Certified coders for medical and procedural coding across primary care, specialties, and ancillary services.

Claim Submission & Clearinghouse

Electronic claim submission with scrubbing, clearinghouse management, and real-time status tracking.

Denial Management

Root-cause analysis on denials, rapid appeals with clinical documentation, and prevention protocols to cut denial rates.

Accounts Receivable

Aggressive A/R follow-up across all payer categories — commercial, Medicare, Medicaid, and self-pay.

Credentialing

Provider enrollment with commercial payers, Medicare, and Medicaid — with ongoing re-credentialing and expiration tracking.

SPECIALTIES WE COVER

Across All Practice Types

Primary Care & Family Medicine
Orthopedics & Sports Medicine
Nephrology & Dialysis
Behavioral Health & Psychiatry
Urgent Care & Walk-in Clinics
Cardiology
Neurology
Oncology
Pediatrics
Multi-specialty Group Practices
PLATFORMS WE WORK IN

No Migration Required

We work inside your existing EHR/PM — no system change required to get started.

eClinicalWorks (eCW)AthenahealthKareo / TebraOfficeAllyAvailityEpicCernerDrChronoPractice FusionNextGen
CLIENT RESULTS

Anonymized Case Studies

3-Provider Urgent Care — Texas
Challenge

High denial volume from eligibility mismatches and coding inconsistencies.

Result

Denial rate reduced from 28% to 6% within 90 days. A/R days cut from 52 to 31.

Solo Nephrology Practice — Florida
Challenge

Delayed credentialing holding up Medicare reimbursements. A/R stalled at 60+ days.

Result

Net collections increased 22% in the first quarter. Full credentialing backlog cleared within 45 days.

HIPAA & COMPLIANCE

Secure. Compliant. Accountable.

Business Associate Agreement (BAA) available for all clients
HIPAA-aware processes — data handled per applicable regulations
Access controls and audit trails on all client data
OIG/SAM exclusion screening on all billing staff
US-based operations with documented data handling procedures
GET STARTED

Get a Free Billing Audit

A 30-minute billing audit will show you exactly where revenue is leaking, what your denial rate should be, and how quickly we can improve it — at no cost and no commitment.

No setup fees. Pay only when we collect.